Elizabeth Speck

45 timestamped statements across 3 collections — auto-found in recorded discussions, each timestamp jumps to the exact moment.

Congenital Lung Lesions (CPAM) · guest expert

Featured diaries

▶ Ep 31 · 5:39
The first question should be, do we need to do anything at all? But it's not just the 1 centimeter pneumothorax that most pediatric surgeons wouldn't. Put a tube in, right? What about the big pneumothoraces? And I would tell you that large prospective study demonstrated that you can safely observe even children with even a sizable pneumothorax.
quote · Congenital Lung Lesions (CPAM)
▶ Ep 31 · 5:39
The first question should be, do we need to do anything at all? But it's not just the 1 centimeter pneumothorax that most pediatric surgeons wouldn't. Put a tube in, right? What about the big pneumothoraces? And I would tell you that large prospective study demonstrated that you can safely observe even children with even a sizable pneumothorax.
quote · Congenital Lung Lesions (CPAM)
▶ Ep 7 · 5:39
The first question should be, do we need to do anything at all? But it's not just the 1 centimeter pneumothorax that most pediatric surgeons wouldn't. Put a tube in, right? What about the big pneumothoraces? And I would tell you that large prospective study demonstrated that you can safely observe even children with even a sizable pneumothorax.
quote · Congenital Pulmonary Airway Malformation
▶ Ep 11 · 5:39
The first question should be, do we need to do anything at all? But it's not just the 1 centimeter pneumothorax that most pediatric surgeons wouldn't. Put a tube in, right? What about the big pneumothoraces? And I would tell you that large prospective study demonstrated that you can safely observe even children with even a sizable pneumothorax.
quote · Esophageal Atresia
▶ Ep 11 · 6:51
Now, that's tricky. Don't just do a stable lobectomy. The data does support that, to do some pleural-based management. But, you know, how much of the pleuris should you take out? Is it 25%? Is it just the apex? Is it 50%? Do you really need to strip the entire chest wall? Who knows?
quote · Esophageal Atresia
▶ Ep 7 · 6:53
Don't just do a stable lobectomy. The data does support that, to do some pleural-based management. But, you know, how much of the pleuris should you take out? Is it 25%? Is it just the apex? Is it 50%? Do you really need to strip the entire chest wall? Who knows?
quote · Congenital Pulmonary Airway Malformation

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Congenital Lung Lesions (CPAM) 24 entries

Journal of Pediatric Surgery Article Review: October 2023

▶ Ep 31 · 5:39
quote The first question should be, do we need to do anything at all? But it's not just the 1 centimeter pneumothorax that most pediatric surgeons wouldn't. Put a tube in, right? What about the big pneumothoraces? And I would tell you that large prospective study demonstrated that you can safely observe even children with even a sizable pneumothorax. ↗
▶ Ep 31 · 5:39
quote The first question should be, do we need to do anything at all? But it's not just the 1 centimeter pneumothorax that most pediatric surgeons wouldn't. Put a tube in, right? What about the big pneumothoraces? And I would tell you that large prospective study demonstrated that you can safely observe even children with even a sizable pneumothorax. ↗
▶ Ep 31 · 5:43
clinical A large prospective study demonstrated that even children with sizable pneumothorax can be safely observed ↗
▶ Ep 31 · 5:43
clinical A large prospective study demonstrated that even children with sizable pneumothorax can be safely observed ↗
▶ Ep 31 · 6:22
guideline Cross-sectional imaging should not be performed on children with spontaneous pneumothorax to help make clinical decisions; the data support this conclusion ↗
▶ Ep 31 · 6:22
guideline Cross-sectional imaging should not be performed on children with spontaneous pneumothorax to help make clinical decisions; the data support this conclusion ↗
▶ Ep 31 · 6:22
quote This one is really clear. Don't do cross-sectional imaging on children to help you make clinical decision about these patients. The data are supportive that conclusion. ↗
▶ Ep 31 · 6:22
quote This one is really clear. Don't do cross-sectional imaging on children to help you make clinical decision about these patients. The data are supportive that conclusion. ↗
▶ Ep 31 · 6:42
clinical If patients reaccumulate air after initial management, they have an ongoing air leak and warrant an operation ↗
▶ Ep 31 · 6:42
quote If they're reaccumulate air, well then, you have your answer. They have an ongoing air link and that patient warrants an operation. ↗
▶ Ep 31 · 6:42
quote If they're reaccumulate air, well then, you have your answer. They have an ongoing air link and that patient warrants an operation. ↗
▶ Ep 31 · 6:42
clinical If patients reaccumulate air after initial management, they have an ongoing air leak and warrant an operation ↗
▶ Ep 31 · 6:51
quote Now, that's tricky. Don't just do a stable lobectomy. The data does support that, to do some pleural-based management. But, you know, how much of the pleuris should you take out? Is it 25%? Is it just the apex? Is it 50%? Do you really need to strip the entire chest wall? Who knows? ↗
▶ Ep 31 · 6:51
clinical The data support doing some pleural-based management rather than just staple lobectomy alone for spontaneous pneumothorax ↗
▶ Ep 31 · 6:51
quote Now, that's tricky. Don't just do a stable lobectomy. The data does support that, to do some pleural-based management. But, you know, how much of the pleuris should you take out? Is it 25%? Is it just the apex? Is it 50%? Do you really need to strip the entire chest wall? Who knows? ↗
▶ Ep 31 · 6:51
clinical The data support doing some pleural-based management rather than just staple lobectomy alone for spontaneous pneumothorax ↗
▶ Ep 31 · 7:28
epidemiological Studies are not available to demonstrate that one pleural-based procedure is better than another ↗
▶ Ep 31 · 7:28
quote Studies just aren't there to really demonstrate one pleural based procedure is better than. Another ↗
▶ Ep 31 · 7:28
epidemiological Studies are not available to demonstrate that one pleural-based procedure is better than another ↗
▶ Ep 31 · 7:28
quote Studies just aren't there to really demonstrate one pleural based procedure is better than. Another ↗
▶ Ep 31 · 7:52
quote This, I would say, has the least data in the literature to support really any conclusive suggestion. The gist is, and the way we worded it in the manuscript is whatever you did before, do something more. ↗
▶ Ep 31 · 7:52
opinion For recurrent pneumothorax, whatever procedure was done before, do something more aggressive ↗
▶ Ep 31 · 7:52
opinion For recurrent pneumothorax, whatever procedure was done before, do something more aggressive ↗
▶ Ep 31 · 7:52
quote This, I would say, has the least data in the literature to support really any conclusive suggestion. The gist is, and the way we worded it in the manuscript is whatever you did before, do something more. ↗
Congenital Pulmonary Airway Malformation 9 entries

Journal of Pediatric Surgery Article Review: October 2023

▶ Ep 7 · 5:39
quote The first question should be, do we need to do anything at all? But it's not just the 1 centimeter pneumothorax that most pediatric surgeons wouldn't. Put a tube in, right? What about the big pneumothoraces? And I would tell you that large prospective study demonstrated that you can safely observe even children with even a sizable pneumothorax. ↗
▶ Ep 7 · 5:43
clinical A large prospective study demonstrated that even children with sizable pneumothorax can be safely observed ↗
▶ Ep 7 · 6:22
guideline Cross-sectional imaging should not be done on children to help make clinical decisions about spontaneous pneumothorax ↗
▶ Ep 7 · 6:22
quote This one is really clear. Don't do cross-sectional imaging on children to help you make clinical decision about these patients. The data are supportive that conclusion. ↗
▶ Ep 7 · 6:42
clinical If air reaccumulates after observation, the patient has an ongoing air leak and warrants an operation ↗
▶ Ep 7 · 6:51
clinical Data support doing some pleural-based management rather than just staple lobectomy for spontaneous pneumothorax ↗
▶ Ep 7 · 6:53
quote Don't just do a stable lobectomy. The data does support that, to do some pleural-based management. But, you know, how much of the pleuris should you take out? Is it 25%? Is it just the apex? Is it 50%? Do you really need to strip the entire chest wall? Who knows? ↗
▶ Ep 7 · 7:28
epidemiological Studies are not available to demonstrate one pleural-based procedure is better than another ↗
▶ Ep 7 · 7:52
guideline For recurrent pneumothorax, whatever was done before, do something more ↗
Esophageal Atresia 12 entries

Journal of Pediatric Surgery Article Review: October 2023

▶ Ep 11 · 5:39
quote The first question should be, do we need to do anything at all? But it's not just the 1 centimeter pneumothorax that most pediatric surgeons wouldn't. Put a tube in, right? What about the big pneumothoraces? And I would tell you that large prospective study demonstrated that you can safely observe even children with even a sizable pneumothorax. ↗
▶ Ep 11 · 5:43
clinical A large prospective study demonstrated that even children with sizable pneumothorax can be safely observed ↗
▶ Ep 11 · 6:22
quote This one is really clear. Don't do cross-sectional imaging on children to help you make clinical decision about these patients. The data are supportive that conclusion. ↗
▶ Ep 11 · 6:22
guideline Cross-sectional imaging should not be performed on children with spontaneous pneumothorax to help make clinical decisions; the data support this conclusion ↗
▶ Ep 11 · 6:42
clinical If patients reaccumulate air after initial management, they have an ongoing air leak and warrant an operation ↗
▶ Ep 11 · 6:42
quote If they're reaccumulate air, well then, you have your answer. They have an ongoing air link and that patient warrants an operation. ↗
▶ Ep 11 · 6:51
quote Now, that's tricky. Don't just do a stable lobectomy. The data does support that, to do some pleural-based management. But, you know, how much of the pleuris should you take out? Is it 25%? Is it just the apex? Is it 50%? Do you really need to strip the entire chest wall? Who knows? ↗
▶ Ep 11 · 6:51
clinical The data support doing some pleural-based management rather than just staple lobectomy alone for spontaneous pneumothorax ↗
▶ Ep 11 · 7:28
quote Studies just aren't there to really demonstrate one pleural based procedure is better than. Another ↗
▶ Ep 11 · 7:28
epidemiological Studies are not available to demonstrate that one pleural-based procedure is better than another ↗
▶ Ep 11 · 7:52
opinion For recurrent pneumothorax, whatever procedure was done before, do something more aggressive ↗
▶ Ep 11 · 7:52
quote This, I would say, has the least data in the literature to support really any conclusive suggestion. The gist is, and the way we worded it in the manuscript is whatever you did before, do something more. ↗